Weitgasser Raimund, Clodi Martin, Cvach Sarah, Grafinger Peter, Lechleitner Monika, Howorka Kinga, Ludvik Bernhard
Abteilung für Innere Medizin, Privatklinik Wehrle-Diakonissen, Salzburg, Österreich.
Universitätsklinik für Innere Medizin I, Landeskrankenhaus Salzburg - Universitätsklinikum, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich.
Wien Klin Wochenschr. 2016 Apr;128 Suppl 2:S146-50. doi: 10.1007/s00508-015-0935-z.
Diabetes education and self management has gained a critical role in diabetes care. Patient empowerment aims to actively influence the course of the disease by self-monitoring and treatment modification, as well as integration of diabetes in patients' daily life to achieve changes in lifestyle accordingly.Diabetes education has to be made accessible for all patients with the disease. To be able to provide a structured and validated education program adequate personal as well as space, organizational and financial background are required. Besides an increase in knowledge about the disease it has been shown that structured diabetes education is able to improve diabetes outcome measured by parameters like blood glucose, HbA1c, blood pressure and body weight in follow-up evaluations. Modern education programs emphasize the ability of patients to integrate diabetes in everyday life and stress physical activity besides healthy eating as a main component of lifestyle therapy and use interactive methods in order to increase the acceptance of personal responsibility.
糖尿病教育与自我管理在糖尿病护理中发挥着关键作用。患者赋权旨在通过自我监测和治疗调整,以及将糖尿病融入患者日常生活以相应改变生活方式,从而积极影响疾病进程。必须让所有糖尿病患者都能接受糖尿病教育。要提供一个结构化且经过验证的教育项目,就需要有足够的人员、空间、组织和资金背景。除了增加对疾病的了解外,后续评估表明,结构化糖尿病教育能够改善以血糖、糖化血红蛋白、血压和体重等参数衡量的糖尿病治疗效果。现代教育项目强调患者将糖尿病融入日常生活的能力,除了健康饮食外,还强调体育活动是生活方式治疗的主要组成部分,并采用互动方法以提高患者对个人责任的接受度。